Health Care Fraud Blog

The Compliance Certification Board (CCB) announced that Board Certified Criminal Trial Lawyer Robert David Malove, has successfully completed the Certified in Healthcare Compliance Examination, thus earning the "CHC" designation.

Healthcare compliance is a relatively new industry, born out of the government's crackdown on Medicare fraud. Compliance professionals come from a variety of backgrounds including coding, medical records, nursing, medical practice. law and government. Regardless of background, compliance professionals are tasked with assuring that health care providers follow federal, state and local regulations that govern the delivery of healthcare.

CCB President Debbie Troklus, noted, "The United States government constantly updates the laws and regulations surrounding Medicare to ensure proper billing and to eliminate fraud. These new regulations demand professionals who both understand the new regulations and how to implement programs to ensure compliance within their companies."

Founded by the Health Care Compliance Association in 1998, the Compliance Certification
Board exists to develop criteria for the determination of competence in the practice of healthcare compliance at a variety of levels and to recognize individuals meeting these criteria.

Posted by Robert David Malove | Permalink | Email This Post

Posted In: Healthcare Corporate Compliance

Bookmark:

On December 13, 2007, the owners of five separate Miami-based health care corporations have were sentenced to prison. Collectively, the five defendants filed fraudulent claims with Medicare for over $28.6 million worth of unnecessary durable medical equipment (DME) and infusion therapy.

The five defendants who were sentenced in Miami are: Rodolfo Aenlle, 47, who was sentenced to 84 months in prison; Simon Seruya, 74, who was sentenced to 50 months; Alberto Gourie, 35, who was sentenced to 51 months in prison; William Garcia, 31, who was sentenced to 41 months; and Marina Ruiz, 48, who was sentenced to 24 months in prison. In total, these individuals were ordered to repay more than $13 million in restitution.

“We are continuing to seek appropriate sentences for the most serious Medicare fraud offenders,” said Assistant Attorney General Fisher. “The Strike Force in South Florida has successfully prosecuted some of the most egregious cases of Medicare fraud, and the average prison sentence for these violators is now up to almost 52 months which is above the national average of 31 months, with many Strike Force defendants receiving over 10 years.”

Continue reading "Medicare Fraud Strike Force Cases Result in Long Prison Terms for Five Health Care Company Owners" »

Posted by Robert David Malove | Permalink | Email This Post

Posted In: Medicare Fraud

Bookmark: